How much rates vary
Facilitymedian $2,344 · 10th to 90th $1,175 to $15,136Professionalmedian $676 · 10th to 90th $89 to $933
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $741.31 Median $9,120.11 Typical High $22,908.68 | Facility | None | $741.31 | $9,120.11 | $22,908.68 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $741.31 Typical High $741.31 | Professional | None | $630.96 | $741.31 | $741.31 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,412.54 Median $3,890.45 Typical High $15,135.61 | Facility | None | $1,412.54 | $3,890.45 | $15,135.61 |
BCBS South Carolina Setting Professional Modifier None Typical Low $588.84 Median $741.31 Typical High $954.99 | Professional | None | $588.84 | $741.31 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,348.96 Typical High $2,187.76 | Facility | None | $602.56 | $1,348.96 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $1,148.15 | Professional | None | $676.08 | $676.08 | $1,148.15 |
Medcost Setting Facility Modifier None Typical Low $676.08 Median $1,737.80 Typical High $2,398.83 | Facility | None | $676.08 | $1,737.80 | $2,398.83 |
Medcost Setting Professional Modifier None Typical Low $660.69 Median $741.31 Typical High $851.14 | Professional | None | $660.69 | $741.31 | $851.14 |
Molina Setting Professional Modifier None Typical Low $75.86 Median $588.84 Typical High $891.25 | Professional | None | $75.86 | $588.84 | $891.25 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $3,311.31 Typical High $18,197.01 | Facility | None | $1,023.29 | $3,311.31 | $18,197.01 |
United Setting Professional Modifier None Typical Low $512.86 Median $645.65 Typical High $1,071.52 | Professional | None | $512.86 | $645.65 | $1,071.52 |
12 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $316.23 Median $371.54 Typical High $371.54 | Professional | 52 · Reduced service | $316.23 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $147.91 Typical High $147.91 | Professional | 53 · Discontinued | $125.89 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $562.34 Typical High $562.34 | Professional | 54 · Surgery only | $467.74 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $112.20 Typical High $112.20 | Professional | 55 · Aftercare only | $93.33 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $74.13 Typical High $74.13 | Professional | 56 · Pre-op care only | $63.10 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $524.81 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $436.52 | $524.81 | $524.81 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,000.00 Median $1,230.27 Typical High $1,698.24 | Professional | 50 · Both sides | $1,000.00 | $1,230.27 | $1,698.24 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $331.13 Median $416.87 Typical High $562.34 | Professional | 51 · Multiple procedures | $331.13 | $416.87 | $562.34 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $131.83 Median $165.96 Typical High $223.87 | Professional | 80 · Assistant surgeon | $131.83 | $165.96 | $223.87 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $93.33 Median $114.82 Typical High $158.49 | Professional | 81 · Minimal assistant surgeon | $93.33 | $114.82 | $158.49 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $93.33 Median $114.82 Typical High $158.49 | Professional | 82 · Assistant surgeon, no resident | $93.33 | $114.82 | $158.49 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $93.33 Median $114.82 Typical High $158.49 | Professional | AS · PA/NP assist | $93.33 | $114.82 | $158.49 |
Where South Carolina sits
The same service costs 5.8 times more in Alaska than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
South Carolina· 36th of 51
$724
AK $2,570UT $447
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.